PMID- 28166246 OWN - NLM STAT- MEDLINE DCOM- 20170825 LR - 20190208 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 12 IP - 2 DP - 2017 TI - Soluble human leukocyte antigen -G during pregnancy and infancy in Benin: Mother/child resemblance and association with the risk of malaria infection and low birth weight. PG - e0171117 LID - 10.1371/journal.pone.0171117 [doi] LID - e0171117 AB - Human leukocyte antigen (HLA) G is a tolerogenic molecule involved in the maternal-fetal immune tolerance phenomenon. Its expression during some infectious diseases leading to immune evasion has been established. A first study conducted in Benin has shown that the production of soluble HLA-G (sHLA-G) during the first months of life is strongly correlated with the maternal level at delivery and associated with low birth weight and malaria. However sHLA-G measurements during pregnancy were not available for mothers and furthermore, to date the evolution of sHLA-G in pregnancy is not documented in African populations. To extend these previous findings, between January 2010 and June 2013, 400 pregnant women of a malaria preventive trial and their newborns were followed up in Benin until the age of 2 years. Soluble HLA-G was measured 3 times during pregnancy and repeatedly during the 2 years follow-up to explore how sHLA-G evolved and the factors associated. During pregnancy, plasma levels of sHLA-G remained stable and increased significantly at delivery (p<0.001). Multigravid women seemed to have the highest levels (p = 0.039). In infants, the level was highest in cord blood and decreased before stabilizing after 18 months (p<0.001). For children, a high level of sHLA-G was associated with malaria infection during the follow-up (p = 0.02) and low birth weight (p = 0.06). The mean level of sHLA-G during infancy was strongly correlated with the mother's level during pregnancy (<0.001), and not only at delivery. Moreover, mothers with placental malaria infection had a higher probability of giving birth to a child with a high level of sHLA-g (p = 0.006). High sHLA-G levels during pregnancy might be associated with immune tolerance related to placental malaria. Further studies are needed but this study provides a first insight concerning the potential role of sHLA-G as a biomarker of weakness for newborns and infants. FAU - d'Almeida, Tania C AU - d'Almeida TC AD - Universite Pierre et Marie Curie, Paris, France. AD - UMR 216-MERIT, Institut de Recherche pour le Developpement, Faculte de Pharmacie - Universite Paris Descartes, Sorbonne Paris-Cite, Paris, France. FAU - Sadissou, Ibrahim AU - Sadissou I AD - UMR 216-MERIT, Institut de Recherche pour le Developpement, Faculte de Pharmacie - Universite Paris Descartes, Sorbonne Paris-Cite, Paris, France. AD - Centre d'Etude et de Recherche sur le Paludisme Associe a la Grossesse et a l'Enfance, Faculte des Sciences de la Sante, Cotonou, Benin. AD - Universite d'Abomey-Calavi, Cotonou, Benin. AD - Division of Clinical Immunology, School of Medicine of Ribeirao Preto, University of Sao Paulo, Brazil. FAU - Milet, Jacqueline AU - Milet J AD - UMR 216-MERIT, Institut de Recherche pour le Developpement, Faculte de Pharmacie - Universite Paris Descartes, Sorbonne Paris-Cite, Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. FAU - Cottrell, Gilles AU - Cottrell G AD - UMR 216-MERIT, Institut de Recherche pour le Developpement, Faculte de Pharmacie - Universite Paris Descartes, Sorbonne Paris-Cite, Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. FAU - Mondiere, Amandine AU - Mondiere A AD - UMR 216-MERIT, Institut de Recherche pour le Developpement, Campus de la Faculte des Sciences de la Sante (FSS) et de l'Institut des Sciences Biomedicales Appliquees (ISBA), Cotonou, Benin. FAU - Avokpaho, Euripide AU - Avokpaho E AD - Ecole Pasteur - CNAM de sante publique, Paris, France. FAU - Gineau, Laure AU - Gineau L AD - UMR 216-MERIT, Institut de Recherche pour le Developpement, Faculte de Pharmacie - Universite Paris Descartes, Sorbonne Paris-Cite, Paris, France. FAU - Sabbagh, Audrey AU - Sabbagh A AD - UMR 216-MERIT, Institut de Recherche pour le Developpement, Faculte de Pharmacie - Universite Paris Descartes, Sorbonne Paris-Cite, Paris, France. FAU - Massougbodji, Achille AU - Massougbodji A AD - Centre d'Etude et de Recherche sur le Paludisme Associe a la Grossesse et a l'Enfance, Faculte des Sciences de la Sante, Cotonou, Benin. AD - Universite d'Abomey-Calavi, Cotonou, Benin. FAU - Moutairou, Kabirou AU - Moutairou K AD - Universite d'Abomey-Calavi, Cotonou, Benin. FAU - Donadi, Eduardo A AU - Donadi EA AD - Division of Clinical Immunology, School of Medicine of Ribeirao Preto, University of Sao Paulo, Brazil. FAU - Favier, Benoit AU - Favier B AD - CEA, Institut des Maladies Emergentes et des Therapies Innovantes (IMETI), Service de Recherches en Hemato-Immunologie (SRHI), Hopital Saint-Louis, IUH, Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, IUH, Hopital Saint-Louis, UMR_E5, IUH, Paris, France. FAU - Carosella, Edgardo AU - Carosella E AD - CEA, Institut des Maladies Emergentes et des Therapies Innovantes (IMETI), Service de Recherches en Hemato-Immunologie (SRHI), Hopital Saint-Louis, IUH, Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, IUH, Hopital Saint-Louis, UMR_E5, IUH, Paris, France. FAU - Moreau, Philippe AU - Moreau P AD - CEA, Institut des Maladies Emergentes et des Therapies Innovantes (IMETI), Service de Recherches en Hemato-Immunologie (SRHI), Hopital Saint-Louis, IUH, Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, IUH, Hopital Saint-Louis, UMR_E5, IUH, Paris, France. FAU - Rouas-Freiss, Nathalie AU - Rouas-Freiss N AD - CEA, Institut des Maladies Emergentes et des Therapies Innovantes (IMETI), Service de Recherches en Hemato-Immunologie (SRHI), Hopital Saint-Louis, IUH, Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, IUH, Hopital Saint-Louis, UMR_E5, IUH, Paris, France. FAU - Courtin, David AU - Courtin D AD - UMR 216-MERIT, Institut de Recherche pour le Developpement, Faculte de Pharmacie - Universite Paris Descartes, Sorbonne Paris-Cite, Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. FAU - Garcia, Andre AU - Garcia A AD - Universite Pierre et Marie Curie, Paris, France. AD - UMR 216-MERIT, Institut de Recherche pour le Developpement, Faculte de Pharmacie - Universite Paris Descartes, Sorbonne Paris-Cite, Paris, France. AD - Centre d'Etude et de Recherche sur le Paludisme Associe a la Grossesse et a l'Enfance, Faculte des Sciences de la Sante, Cotonou, Benin. LA - eng PT - Journal Article DEP - 20170206 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (HLA-G Antigens) SB - IM MH - Adolescent MH - Adult MH - Benin/epidemiology MH - *Disease Susceptibility MH - Female MH - HLA-G Antigens/*blood MH - Humans MH - Infant MH - *Infant, Low Birth Weight MH - Infant, Newborn MH - Malaria/*blood/epidemiology/*etiology MH - Pregnancy MH - Young Adult PMC - PMC5293225 COIS- The authors have declared that no competing interests exist. EDAT- 2017/02/07 06:00 MHDA- 2017/08/26 06:00 PMCR- 2017/02/06 CRDT- 2017/02/07 06:00 PHST- 2016/08/11 00:00 [received] PHST- 2017/01/04 00:00 [accepted] PHST- 2017/02/07 06:00 [entrez] PHST- 2017/02/07 06:00 [pubmed] PHST- 2017/08/26 06:00 [medline] PHST- 2017/02/06 00:00 [pmc-release] AID - PONE-D-16-32141 [pii] AID - 10.1371/journal.pone.0171117 [doi] PST - epublish SO - PLoS One. 2017 Feb 6;12(2):e0171117. doi: 10.1371/journal.pone.0171117. eCollection 2017.